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General assessment findings
• • •
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General Comments
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|
|
Head additional info:
|
|
Head assessment findings:
• • •
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Eye additional:
|
|
Eyes assessment findings
• • •
|
|
|
Visual Acuity Right eye
|
Left Visual acuity
|
|
Ears assessment findings:
• • •
|
Ears additional:
|
|
Nose Assessment findings
• • •
|
Nose additional:
|
|
Oropharynx assessment findings
• • •
|
Oropharynx additional:
|
|
|
|
|
Neck assessment findings:
• • •
|
Neck findings other:
|
|
|
|
|
CV Assessment findings
• • •
|
Cardiovascular Comments
|
|
|
|
|
Pulmonary assessment findings
• • •
|
Pulmonary Comments
|
|
|
|
|
Abdomen Assessment findings
• • •
|
Abdomen Comments
|
|
|
|
|
Skin assessment findings:
• • •
|
Location of skin rash
• • •
|
|
Description of skin lesion:
• • •
|
Skin assessment other:
|
|
|
|
|
MSK Assessment findings
• • •
|
MSK Comments
|
|
|
|
|
Breast Assessment findings:
• • •
|
Breasts Comments
|
|
|
|
|
Extrem Assessment
• • •
|
Extrem Comments
|
|
|
|
|
Neuro
• • •
|
Neuro Comments
|
|
|
|
|
Diagram
|
Hand Diagram
|
|
Full Body Diagram
|
Female Front
|
